Utah Health Insurance

Utah (UT)

Individual Health Insurance Regulations

When it comes to protecting your family against unforeseen events, the presence of suitable health coverage is extremely important. Before zeroing on a particular health plan policy, a thorough evaluation of your family's healthcare needs and your financial assets is required. If you are a resident of Utah, you can choose from various product options. The Utah Insurance Department controls the regulations under which the Utah health insurers can sell private medical insurance to individuals and families.
The State of Utah provides that individual health plan policies throughout the state may be medically underwritten. Medically underwriting a medical insurance policy provides the insurer an opportunity to review the applicant's medical history and decide to provide coverage under the terms of the individual health plan; offer modified coverage, with limitations or exclusions of specified benefits; or decline coverage based upon the applicant's health history. Benefits may be modified by the inclusion of an elimination rider which may temporarily or permanently exclude coverage of specific medical conditions. For individuals lacking prior creditable coverage, the insurance carrier is provided a 6 month look back, 12-month exclusionary period, under which the policy may also be modified. Individual premium rates are determined by varying factors and may fluctuate by plus or minus 30 percent of the indexed rate. Individual market insurers that have not met enrollment cap must guarantee issue at least one individual market policy to those that are otherwise not eligible for any other type of coverage.
Search for plans and the costs associated with them using the search box above. We provide individual, family, Medicare supplemental, group and student health plan quotes for you to compare on all states and zip codes. Remember that having coverage leads to a healthier lifestyle as you are able to get regular doctor checkups and therefore a low-cost premium.

Utah (UT)

Small Group Health Insurance Regulations

For purposes of obtaining small group health insurance, the State of Utah defines a small group as a group of employees numbering from 2 to 50. Groups of this size are afforded health insurance coverage on a guarantee issue basis, which provides that no group, or individual employee, may be declined medical insurance coverage as a result of their health status. During the application process, however, health insurance carriers may require that each applicant provide a medical history for purposes of determining pre-existing medical conditions. Applicant's lacking prior creditable coverage may then be subject to a 6 month look back, 12-month exclusionary period on specified medical conditions. The State of Utah provides that small group premium rates may be medically underwritten. Subject to the group's overall health, premium rates may vary plus or minus 30 percent of the indexed rate.

Utah COBRA and Continuation Coverage

Continuation benefits for groups of 20 or more employees are regulated by COBRA, the Consolidate Omnibus Budget Reconciliation Act of 1985, which provides an additional 18 months of continuation coverage under the terms of the previously engaged group health plan. For groups of less than 20 employees, the State of Utah has in place its own mini-COBRA regulations. Those regulations provide for an additional six months of coverage under the group health plan, providing that the beneficiary has had at least six months prior coverage under the group plan. The beneficiary must also elect to receive their continuation benefits within thirty days of the termination of the health plan benefits. Continuation of coverage will be at the sole expense of the beneficiary. A 2% administration fee will be added to the monthly premium.